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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2.5`'(� (�� P{�,�o� <br /> PID: P�.J <br /> DESCRIPTION OF WORK: � orl V���� r� - c' '` <br /> � -----------------------------------------------t ----------------------------------------------------------+---------- �. <br /> � ZONING REVIEW BY.• e�r DATEAPPROVED: l I�I ' � 7 q r��►1� <br /> � BUILDINGREVIEWBY.• DATEAPPROi�ED: Z-t6-o7 1 <br /> • ---------------------------------------- ------------------------------------------y--------------------------------- <br /> � FEES TO BE CHARGED: Misc. Fees Calculated B <br /> � PERMIT Yes No <br /> � PLAN REVIEW Yes No SEWER CONNECTION <br /> � � STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> s � INVESTIGATION FEE Yes No ✓ PARK FEE <br /> �� � SAC Yes No� �S7TE INSPECTION <br /> �� a � Nzrmber of SAC Units eg,,� ii-�g-g��;Rw,,; 6S 6�0 �a���;OTHER (sp ec�) <br /> d � � ----------------------------------------------------------------------��---�L�cil.__L_`]�------------------------------ <br /> � � 9 D ZONING CHECK LIST zoning Districr: L f� - /(�, <br /> � �. �. ° <br /> � a �� Fire Depar•tmenl: Post Offrce: School District: <br /> � � � 3 Lot.4rea: Sq.ft. Acres l� Gi�idth ��S Depth ��7� �Z <br /> s U� � <br /> � Z Sauvev Subnzitted: 1'es_� No Date of Sz�rvey: Z7 �1�7 <br /> .a � ,�� i�3 - a� <br /> r¢,vr.51 cr�rl <br /> �`� � d Proposed Setbacks: c� /�(E <br /> 3 � � Front(Lake): �r 7 &ga+t Side: ��� � <br /> � �W <br /> Rear(Street): ���� �eft Side: .�N��q� <br /> 0' ��, Adjacent Structures: yl l�- Y�'etland: `1�} <br /> 3 � 3 • <br /> ..� � Be�i(ding Heighl: Def. Hgt. 3� Peak Kgt. <br /> d <br /> � Lot Coverage: 5� Z � � <br /> � � <br /> Grading: Sta�f'Approval Dale: 7..- I6 -07 By:T� COLIi1C1j.4pproval Date: <br /> �Septrc: StaffApprovalDale: �„��" By: <br /> 7_o��ing File: # Resoli�tio�r: # Resolzrtion Date: <br /> Shorelar�d Distr•ict: MCI��D •mil: c� <br /> 9�� . Selback.� Blu Setbac% � <br /> . g ff n� � U Lot Cover•age: i t �(� <br /> £,ristirrg"�}� Proposed <br /> Hardcover: 0-7�' 2 3 � O <br /> ?�-�.50' —�2�7� ��� -- ���`�(o°lv <br /> 2so-so0' -.�32��� � ���" —' S,R'Z lp <br /> soo-�oon� �_ — <br /> Hardcover G'aria��ce Reyuired: I'es� ���o� Date of Coarncil Approval.� <br /> �� <br /> REMARKS(in ltouse): t/1p {p�c! � -� �0 Q�. <br /> C1uesH� Q�'� 7-�i��� �-�' C► �(nc✓tz�,.ha.l rlts ;F. • <br /> �� <br />